Publications

NICE Medical Technologies Evaluation

NICE's Medical Technologies Evaluation Programme (MTEP) considers technologies that could offer substantial benefits to patients and the health & social care system over current practise.  Parafricta Bootees and Undergarments were reviewed by NICE in 2014.  As a result of this evaluation the use of Parafricta products was encouraged by NICE, and Parafricta was incorporated into NICE’s care pathways for both the prevention and treatment of pressure ulcers.

Article  Description 

Glover, Jones, and von Spreckelsen (2021) Heel pressure ulceration: the perennial clinical and financial problem?, British Journal of Healthcare Management

 https://www.magonlinelibrary.com/doi/full/10.12968/bjhc.2021.0015

Free Access PDF

Using low-friction fabrics to prevent and treat hospital-acquired pressure ulcers can have considerable cost-saving implications for the NHS. Parafricta low-friction bootees have been successfully implemented in an NHS trust and resulted in a 75% lower prevalence of hospital-acquired pressure ulcers over 8 years compared to the average for NHS England. Using low-friction fabrics is cost-effective and an efficacious method of reducing the burden of hospital-acquired pressure ulcers.

Smith and Ingram (2010) - Clinical and cost effectiveness evaluation of low friction and shear garments; Journal of Wound Care Vol. 19, no 12, December 2010, pp.535-42.    https://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2010.19.12.535

Data, including pressure ulcer incidence, location, grading  and final outcome upon discharge was collected from 369 patients alongside locally derived expenditures to assess the role of low friction garments in hospital setting. They found that Parafricta low friction garments have a role to play in the prevention of skin breakdown and appear to be both clinically and cost effective. 

Stephen-Haynes et al (2011) -  Clinical outcomes using a low friction and shear garment in the care home setting;  Wounds UK, Vol. 7, No 4, pp. 76-84. https://www.wounds-uk.com/journals/issue/28/article-details/clinical-outcomes-using-a-low-friction-and-shear-garment-in-the-care-home-setting

This study evaluated 25 patients in a care home setting with grade 2 pressure ulcers to determine whether Parafricta products were effective in conjunction with current treatment. They found improvement in the skin with less redness, oedema and a reduction in friction and shear. Parafricta is an additional resource that can aid the management of patients at risk of pressure damage.

Gleeson, D (2015) “Pressure ulcer reduction using low-friction fabric bootees” British Journal of Nursing (Tissue Viability Supplement) 24 (6) https://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2015.24.Sup6.S26

In reaction to high instances of grade 2 heel pressure ulcers St Helens and Knowsley Trust began using Parafricta bootees. This study found that implementing the use of the Parafricta low-friction fabric bootees has proved a good strategy for the Trust, ensuring a reduction not only in heel pressure ulcer incidence but also in achieving zero harm targets and providing substantial cost benefits

Gleeson, D (2016) “Heel Pressure Ulcer prevention: a 5-year initiative using low-friction bootees in a hospital setting”” Wounds UK Vol12 No4 https://www.wounds-uk.com/journals/issue/50/article-details/heel-pressure-ulcer-prevention-a-5-year-initiative-using-low-friction-bootees-in-a-hospital-setting

This study, evaluates the implementation of Parafricta bootees in a hospital setting 5 years after they were introduced. Parafricta low-friction bootees when used in routine practise are shown to have played a part in reduction of heel pressure ulcers and in particular the decline in the proportion of heel pressure ulcers to pressure ulcers on other sites. The pressure ulcer instance in the Trust was found to be below the national average. The reduction in heel pressure ulcers led to significant savings for the Trust.

Gefen, A (2017) “Why is the heel particularly vulnerable to pressure ulcers” British Journal of Nursing Vol 26 No20 Tissue Viability Supplement  https://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2017.26.Sup20.S62

This article explains the vulnerability of heels to pressure ulcers from a biomechanical engineering perspective taking into account hospital settings. It discusses the growing and solid evidence that low friction fabric garments may provide added benefits in preventing heel ulcers. Managing friction through Parafricta low friction fabric garments is a promising way forward.

Schofield, A (2018) “Mitigating the damaging effects of tissue distortions by using a low-friction heel protector” British Journal of Nursing | Vol. 27 | No. Sup12 | pp S27–S34   https://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2018.27.Sup12.S27

This article reports the findings of a small, non-controlled evaluation over a 2 week period in 3 different care settings. The results show Parafricta low friction bootees have a played a significant part in the reduction of heel pressure ulcers, reduced pain and increased comfort. In conclusion, should be regarded as a standard care tool in pressure ulcer care prevention in all care settings. 

Hollen,L et al (2018)  “The SILKIE (Skin graftIng Low friKtIon Environment) study: a non-randomised proof-of-concept and feasibility study on the impact of low-friction nursing environment on skin grafting success rates in adult and paediatric burns”  BMJ Open access  2018;8 https://bmjopen.bmj.com/content/8/6/e021886

This article evaluates the impact of low-friction bedding in an acute burn setting, the study was conducted in 3 burn services in 2 hospitals with a cohort of 131. The article concludes that low-friction bedding is safe for burns victims, with a significant reduction in graft loss. 

Sylvie Hampton et al.(2009) Parafricta Fabric: Can it reduce the potential for pressure ulcer damage; Journal of Community Nursing, April, Vol. 23, Issue 4, pp. 28-31 http://www.jcn.co.uk/journals/issue/3/04-2009

There is a relationship between reduction of oedema and inflammation under the epidermis and the wearing of Parafricta garments. This leads to the conclusion that Parafricta should be considered for any resident or patient that is at risk of pressure damage related to shear and friction.

Hampton, S. (2007). 'Reducing shearing forces: Parafricta Fabric'. Nursing and Residential Care. Vol. 9, No 12, pp. 580-582 https://www.magonlinelibrary.com/doi/abs/10.12968/nrec.2007.9.12.27638

Pressure sores are a preventable complication for immobile patients and are often caused by shearing and friction. Parafricta, a fabric with low friction properties, reduces the potential for pressure damage.

Kerr, A. (2008). 'Reducing shear and Friction: Parafricta undergarments'. Nursing and Residential Care. Vol. 10, No 01, pp 626-628 https://www.magonlinelibrary.com/doi/abs/10.12968/nrec.2008.10.1.27956

This article discusses the role that Parafricta undergarments can play in reducing the potential for pressure ulcers in immobile patients.

Bree-Aslan, C. and Hampton, S. (2013) 'Parafricta and the prevention of shearing forces: heel ulcers'. Nursing and Residential Care, Vol. 10, No. 01, pp, 78-80   https://www.magonlinelibrary.com/doi/pdf/10.12968/nrec.2008.10.2.28124

A case study that discusses the role that Parafricta fabric can play in reducing and preventing pressure, shear and heel damage.

https://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2010.19.12.535

Safety thermometer Data 

Using data from NHS England this presentation shows how the use of Parafricta products in one NHS trust reduced the number of category 2-4 pressure ulcers.

Pressure Ulcer in the UK from safety thermometer data

NICE Pressure Ulcer pathway

http://pathways.nice.org.uk/pathways/pressure-ulcers )

This guideline covers risk assessment, prevention and treatment in children, young people and adults at risk of, or who have, a pressure ulcer (also known as a bedsore or pressure sore).

Tissue Viability Society 

http://tvs.org.uk )

The mission of the TVS to disseminate information, promote research and increase awareness of all aspects of good clinical practice in wound prevention and management.

European Pressure Ulcer Advisory Panel 

http://epuap.org/ )

An organisation which provides European research, education and advocacy for pressure ulcer prevention and treatment. Contributor to international guidelines on the prevention and treatment of pressure ulcers.

Pressure Ulcer Prevention Video - Northumbria NHS

(https://youtu.be/mLTNNTmHOdw)